Breast augmentation (also known as breast enhancement or breast implants) is one of the most popular procedures in plastic surgery today. The procedure is designed to improve the size and shape of breasts that may have always been small or have lost volume due to pregnancy or weight loss. Breast augmentation uses implants to produce fuller breasts, or to restore volume that has been lost over time. There can be some improvement in ptosis (sagging) of the breasts, but in cases where sagging is more extreme, Dr. Swail will recommend combining this procedure with a breast lift to achieve optimal results. Breast augmentation can:
- Increase fullness and projection of breasts
- Improve the balance and proportion of the overall body appearance
- Enhance self-esteem and self-confidence
Breast Augmentation Procedure
There are three common incision locations for breast augmentation. The different incision locations are based upon the type of implant, size of enlargement, and patient anatomy. The different incision locations include:
- Inframammary Incision- This incision is made along the natural fold between the breast and chest wall at the base of the breast.
- Transaxillary Incision- This incision is made in the armpit to reduce visible scarring.
- Periareolar Incision- This incision is made around the areola (dark skin surrounding the nipple).
Dr. Swail will give you all of the incision options and will help you decide which incision location will deliver the best results to meet your desired outcome.
Once the incision is made, Dr. Swail uses both saline and silicone implants to enlarge the size of the breasts. Each type of implant has multiple choices for size and shape. The type, size and shape of implant will depend on the desired result of the breast augmentation procedure. The impants can also be placed above or below the pectoral muscle. Each option available has advantages and disadvantages. Each breast procedure is customized to each individual patient. Along with incision location, Dr. Swail will also discuss implant types and placement options available to his breast augmentation patients.
Saline Implants vs. Silicone Implants
Silicone implants offer a much more natural feel than saline implants. Overall, they have a much more natural consistency. Silicone implants do require larger incisions, so this may impact the appearance of visible scarring. The main disadvantage of silicone is that unlike saline, they are unlikely to collapse if ruptured. If a saline implant is ruptured, the saline is naturally absorbed by the body and the implant will collapse, making a rupture much more obvious to a patient. Silicone will not be reabsorbed by the body and will not be as obvious is ruptured or leaking. This can lead to anxiety about whether or not anything is wrong with the implant. An ultrasound or MRI can detect if there are any issues with a silicone implant. It is also important to note that there is no convincing evidence of any health risks related to silicone gel implants after exhaustive studies.
Breast Augmentation Results
Results from a Boulder breast augmentation are immediately visible following the procedure. As swelling subsides, the full results of the procedure will become apparent. Most patients can resume light activity after 4-7 days, and return to strenuous activity after about 6 weeks.
Dr. Swail meets with each patient personally to discuss their desired outcomes and expectations prior to each procedure. This allows Dr. Swail to design a customized procedure to achieve great long-lasting results, following a breast augmentation in Boulder. It is at this time that Dr. Swail discusses the different incision locations, implant types, and implant placements to discover which options will deliver the best results.